Active NPI
Makenzie Rae Laase, MA, CF-SLP
- Speech-Language Pathologist
- North Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16016
- Practice address
- 2085 Inland Dr Ste a
North Bend, OR 97459-1203 - Phone
- (541) 267-5221
- Fax
- (541) 267-5222
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16016 | OR | Primary |
Addresses
Primary practice location
2085 Inland Dr Ste a
North Bend, OR 97459-1203
Mailing address
2085 Inland Dr Ste a
North Bend, OR 97459-1203
Phone (541) 267-5221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8415 Explorer Dr
Suite 150
Colorado Springs, CO 80920-1034
Phone (719) 332-4689
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16016 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katey Blehm M.a. CCC-SLP | Speech-Language Pathologist | Current | Accepting new patients |
| Katey Blehm M.a. CCC-SLP | Speech-Language Pathologist | Current | Accepting new patients |
Locations
8415 Explorer Dr
Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689
2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689
6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689
2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Colorado Springs, CO
- NPI 1457962417
-
- Speech-Language Pathologist
- Colorado Springs, CO
- NPI 1871360354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609394147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 INLAND DR STE A",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591203",
"telephone_number": "541-267-5221",
"fax_number": "541-267-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 INLAND DR STE A",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591203",
"telephone_number": "541-267-5221",
"fax_number": "541-267-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAASE",
"first_name": "MAKENZIE",
"middle_name": "RAE",
"credential": "MA, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "16016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.